Saúde mental, suporte familiar e adesão ao tratamento: associações no contexto HIV/Aids

Camargo, Luiza Azem; Capitão, Cláudio Garcia; Filipe, Elvira Maria Ventura

doi:10.1590/1413-82712014019002013

Cited by 25 publications

(23 citation statements)

References 13 publications

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“…This new reality demonstrates the transitional nature of the disease, in which the idea of there being specific risk groups (homosexuals and users of injectable drugs) has given way to the notion of risky behavior (unprotected sex) 16 . This fact can also be demonstrated in the results of this investigation, as the majority of participants (74.3%) reported having been sexually infected ( Table 3).…”

Section: Discussionmentioning

confidence: 99%

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Miyada

Garbín

Gatto

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Introduction:In the 1990s, Brazil adopted a public policy that allowed for universal, free access to antiretroviral therapy (ART). Since then, treatment adherence has become a new challenge for administrators of sexually transmitted disease/acquired immunodeficiency syndrome (STD/AIDS) policies. This study quantified adherence to ART and verified whether there is an association between sociodemographic variables and clinical/laboratory data in human immunodeficiency virus (HIV)-infected patients. Methods: This was a cross-sectional, exploratory study with a quantitative approach that was conducted over 8 months.The target population contained patients who were assisted at the ambulatory care facility specialized in STD/AIDS of a mediumsize city located in Northwest São Paulo. In order to verify the level of adherence to ART, a validated CEAT-VIH (Assessment of Adherence to Antiretroviral Therapy Questionnaire) questionnaire was used. Sociodemographic aspects and clinical/laboratory data were obtained from the medical records. The results were analyzed using the Student's t-test and Pearson's coefficient. Results: Herein, 109 patients were interviewed, 56% of whom were male. The age of the population ranged 18-74 years (mean 45.67 years). Adherence to ART was classified as insufficient in 80.7% of cases. There was an association between ART adherence and presence of symptoms and/or opportunistic infection (p=0.008) and economic status (p<0.001). Conclusions: Adherence to ART among HIV carriers cared for by the public health system is low. Patients who reported a favorable economic status and those without symptoms and/or opportunistic infection demonstrated greater treatment adherence than those who needed to take more than 3 pills a day.

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Section: Discussionmentioning

confidence: 99%

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Miyada

Garbín

Gatto

et al. 2017

Rev. Soc. Bras. Med. Trop.

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“…(12) It is noteworthy that the presentation of fatigue in these patients is probably a result of these cellular changes, particularly the decrease in red blood cells, which contributes to the condition of anemia and dyspnea and weakness symptoms felt by the individual. (13)(14)(15)(16)(17) Based on the patients with AIDS interviewed, the study showed that 12.5% (n=66) presented malnutrition, justified by diarrhea, loss of appetite, fever, and malabsorption of nutrients. It is also important to point out that the HIV has mechanisms that affect specifically the nutritional status of individuals by increasing the energy demand and interfering in the absorption and metabolism of the nutrients.…”

Section: Discussionmentioning

confidence: 99%

“…(9,21,22) Behaviors, such as fear, anxiety, guilt, and anger occur at the time of the diagnosis of AIDS, which could make the person not capable of coping with the situation, demonstrating lack of interest for following the instructions related to treating the illness. (9,13) In a study conducted with people living with AIDS, they shared their difficult to understand the questions related to illness prevention and treatment. (22) Low educational level is also one of the factors that contribute to misinterpretation of information regarding the illness.…”

Section: Discussionmentioning

confidence: 99%

Diagnósticos de enfermagem e seus componentes em pacientes com a síndrome da imunodeficiência adquirida

et al. 2016

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Objective: To identify nursing diagnoses in patients with acquired immune deficiency syndrome and to analyze the association between the most frequent diagnoses and their defining characteristics, and related or risk factors in this population. Methods: A cross-sectional study was developed with 113 patients admitted in a hospital in Northeast Brazil. An anamnesis script and physical exams were carried out for data analysis. The diagnoses went through a peer-review process conducted by the authors. The association occurred through Pearson's Chi-squared and Fisher's exact tests. Results: Twenty-four diagnoses were identified. The most frequent had a statistically significant relationship with their components and were included in the domains of health promotion, perception/cognition, sexuality, and life principles. Conclusion: The most prevailing nursing diagnoses were ineffective protection, deficient knowledge, noncompliance, and sexual dysfunction. Overall, the defining characteristics and diagnostic factors showed a significant association. ResumoObjetivo: Identificar os Diagnósticos de Enfermagem em pacientes com a síndrome da imunodeficiência adquirida e analisar a associação entre os diagnósticos mais frequentes com suas características definidoras, fatores relacionados ou de risco nessa população. Métodos: Estudo transversal com 113 pacientes internados em um hospital da Região Nordeste do Brasil. Para a coleta, foram utilizados roteiros de anamnese e exame físico. Os diagnósticos passaram por processo de revisão de forma pareada entre os autores. A associação ocorreu por meio dos testes qui quadrado de Pearson e exato de Fisher. Resultados: Identificaram-se 24 diagnósticos. Os mais frequentes tiveram relação estatisticamente significativa com seus componentes e estavam inseridos nos domínios promoção da saúde, percepção/ cognição, princípios da vida e sexualidade. Conclusão: Os diagnósticos de enfermagem mais prevalentes foram proteção ineficaz, conhecimento deficiente, falta de adesão e disfunção sexual. Em geral, as características definidoras e os fatores dos diagnósticos apresentaram associação significante.

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“…O construto avalia, entre outros, a percepção de afetividade entre os membros da família, comunicação, regras, sentimento de pertença; e é baseado na teoria de Olson, Russel, e Sprenkle (1983) que desenvolveram um modelo circumplexo de famílias. O suporte familiar adequado já foi associado a diversos construtos, como maior saúde mental e adesão a tratamento retroantiviral (Camargo, Capitão, & Filipe, 2014), menos estresse e depressão (Alves, Baptista, & Santos, 2014;Camargo, Calais, & Sartori, 2015), menos desesperança e depressão (Baptista, Carneiro, & Cardoso, 2014), menos comportamentos aditivos (Baptista, Lemos, Carneiro, & Morais, 2013), menos comportamentos de risco e menor saúde mental (Souza, Baptista, & Baptista, 2010), entre outros. Os adolescentes e jovens adultos que percepcionam a sua família como apoiante relatam um maior nível de satisfação com a vida (Pardeck el al., 1991).…”

Section: Diana Farcasunclassified

IPSF: análise da estrutura interna em uma amostra de jovens adultos portugueses

Gonçalves¹,

Baptista

Farcas³

2016

Aval. Psicol.

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RESUMOA avaliação da percepção que se tem da família é fundamental para saber quanto os jovens estão satisfeitos com essa instituição social, sendo que em Portugal não existe uma escala com essa função. O objetivo deste estudo foi avaliar as semelhanças psicométricas do conjunto inicial de 136 itens que foi utilizado na construção do Inventário de Percepção do Suporte Familiar (IPSF) no Brasil, tendo sua versão final com 42 itens e comparar os resultados em uma amostra portuguesa de jovens adultos (N=248). Para o tratamento dos dados, recorreu-se à mesma análise realizada no Brasil, de componentes principais com rotação Oblimin. Os resultados demonstraram um número de itens e distribuição nas três categorias iniciais (afetivo-consistente, adaptação e autonomia) muito próximos aos encontrados na amostra de normatização brasileira, o que sugere semelhança tanto no número quanto na constituição dos componentes nas duas culturas. Palavras-chave: família; testes psicológicos; psicometria. ABSTRACT -IPSF: Analysis of internal structure in a sample of Portuguese young adultsThe evaluation of the people's perception of family is fundamental to understanding the degree to which young people are satisfied with this social institution, and in Portugal there is no scale with this function. The objective of this study was to evaluate the psychometric similarities of the initial set of 136 items that was used in the construction of Family Support Perception Inventory (IPSF) in Brazil, having a final version with 42 items, and compare the results to a Portuguese sample of young adults (N=248).For the data processing, we used the same analysis as in Brazil, of the principal components with oblimin rotation. Results showed a number of items and distribution in the three initial categories (affective-consistent, adaptation and autonomy) very close to those found on the Brazilian standardization sample, suggesting similarity both in number and in the constitution of the components in the two cultures. Keywords: family; psychological testing; psychometrics.RESUMEN -IPSF: análisis de la estructura interna en una muestra de adultos jóvenes portugueses La evaluación de la percepción que se tiene sobre la familia es fundamental para saber en qué medida los jóvenes están satisfechos con esta institución social; en Portugal no existe una escala con esta función. El objetivo de este estudio fue evaluar las semejanzas psicométricas del conjunto inicial de 136 ítems que se utilizan en la construcción del Inventario de Percepción de Soporte Familiar (IPSF) en Brasil, teniendo su versión final con 42 ítems, y comparar los resultados en una muestra portuguesa de jóvenes adultos (N=248). Para el tratamiento de los datos se recurrió al mismo análisis realizado en Brasil, de componentes principales con rotación oblimin. Los resultados mostraron una serie de ítems y distribución en las tres categorías iniciales (afectivo-consistente, adaptación y autonomía) muy cercanos a los encontrados en la muestra brasileña de normalización, lo que sugiere sem...

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Saúde mental, suporte familiar e adesão ao tratamento: associações no contexto HIV/Aids

Cited by 25 publications

References 13 publications

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Diagnósticos de enfermagem e seus componentes em pacientes com a síndrome da imunodeficiência adquirida

IPSF: análise da estrutura interna em uma amostra de jovens adultos portugueses

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